Organization Active NPI

Jessica Carlucci LCSW P.C.

  • Clinical Social Worker
  • East Setauket, NY
National Provider Identifier
1922927896
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA CARLUCCI LCSW P.C.
Practice address
100 N Country Rd
East Setauket, NY 11733-1354
Phone
(631) 241-8051
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Kim Carlucci, LCSW
Title
President
Phone
(631) 241-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

100 N Country Rd
East Setauket, NY 11733-1354

Mailing address

100 N Country Rd Ste 4
East Setauket, NY 11733-1354

National Provider Directory

National Provider Directory

Locations

100 N Country Rd
Ste 4
East Setauket, NY 11733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1922927896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N COUNTRY RD STE 4",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331354",
            "telephone_number": "631-241-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CARLUCCI LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "CARLUCCI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-241-8051",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.